Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation

Background. Diabetes Mellitus Type 2 (DMT2) is a complex medical and social problem in the world and in the Russian Federation also due to prevalence and probability of cardio-vascular complications (CVC).Aim. Economic burden evaluation of DMT2 in the Russian Federation.Methods. Complex analysis of...

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Autores principales: Ivan I. Dedov, Anna V. Koncevaya, Marina V. Shestakova, Yuriy B. Belousov, Julia A. Balanova, Mikhail B. Khudyakov, Oleg I. Karpov
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Publicado: Endocrinology Research Centre 2016
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spelling oai:doaj.org-article:91b40641d3e84f8ab2e700fb69ae0e9f2021-11-14T09:00:20ZEconomic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation2072-03512072-037810.14341/DM8153https://doaj.org/article/91b40641d3e84f8ab2e700fb69ae0e9f2016-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/8153https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Background. Diabetes Mellitus Type 2 (DMT2) is a complex medical and social problem in the world and in the Russian Federation also due to prevalence and probability of cardio-vascular complications (CVC).Aim. Economic burden evaluation of DMT2 in the Russian Federation.Methods. Complex analysis of expenditures (direct and non-direct costs) based on epidemiological, pharmacoeconomics and clinical investigations, population and medical statistics data.Results. Calculated expenditures for DMT2 are 569 bln RUR per year, that is correspond to 1% of the Russian GDP, and 34,7% of that are expenditures for main CVC (ischemic heart disease, cardiac infarction, stroke). Main part of expenses are non-medical (losses GDP) due to temporary and permanent disability, untimely mortality – 426,7 bln RUR per year. Expenditures in estimated group of patients with non-diagnosed DMT2 but with already having CVC were at least 107 bln per year (18,8% from total cost). Relationship between cost of DMT2 and degree of it’s control was found in the Russian conditions. Estimated cost for compensated patient (HbA1c<6,5%) per year was 88 982 RUR, in the same time cost of non-control patient (HbA1c>9,5%) was in 2,8 times higher due to more often main CVC in this group.Conclusion. DMT2 diagnosis improvement as well as effective treatment of early stages of illness can decrease probability of CVC and social economic expenditures.Ivan I. DedovAnna V. KoncevayaMarina V. ShestakovaYuriy B. BelousovJulia A. BalanovaMikhail B. KhudyakovOleg I. KarpovEndocrinology Research Centrearticlediabetes mellitus type 2health care system economicscost of illnessNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 19, Iss 6, Pp 518-527 (2016)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus type 2
health care system economics
cost of illness
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus type 2
health care system economics
cost of illness
Nutritional diseases. Deficiency diseases
RC620-627
Ivan I. Dedov
Anna V. Koncevaya
Marina V. Shestakova
Yuriy B. Belousov
Julia A. Balanova
Mikhail B. Khudyakov
Oleg I. Karpov
Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation
description Background. Diabetes Mellitus Type 2 (DMT2) is a complex medical and social problem in the world and in the Russian Federation also due to prevalence and probability of cardio-vascular complications (CVC).Aim. Economic burden evaluation of DMT2 in the Russian Federation.Methods. Complex analysis of expenditures (direct and non-direct costs) based on epidemiological, pharmacoeconomics and clinical investigations, population and medical statistics data.Results. Calculated expenditures for DMT2 are 569 bln RUR per year, that is correspond to 1% of the Russian GDP, and 34,7% of that are expenditures for main CVC (ischemic heart disease, cardiac infarction, stroke). Main part of expenses are non-medical (losses GDP) due to temporary and permanent disability, untimely mortality – 426,7 bln RUR per year. Expenditures in estimated group of patients with non-diagnosed DMT2 but with already having CVC were at least 107 bln per year (18,8% from total cost). Relationship between cost of DMT2 and degree of it’s control was found in the Russian conditions. Estimated cost for compensated patient (HbA1c<6,5%) per year was 88 982 RUR, in the same time cost of non-control patient (HbA1c>9,5%) was in 2,8 times higher due to more often main CVC in this group.Conclusion. DMT2 diagnosis improvement as well as effective treatment of early stages of illness can decrease probability of CVC and social economic expenditures.
format article
author Ivan I. Dedov
Anna V. Koncevaya
Marina V. Shestakova
Yuriy B. Belousov
Julia A. Balanova
Mikhail B. Khudyakov
Oleg I. Karpov
author_facet Ivan I. Dedov
Anna V. Koncevaya
Marina V. Shestakova
Yuriy B. Belousov
Julia A. Balanova
Mikhail B. Khudyakov
Oleg I. Karpov
author_sort Ivan I. Dedov
title Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation
title_short Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation
title_full Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation
title_fullStr Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation
title_full_unstemmed Economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the Russian Federation
title_sort economic evaluation of type 2 diabetes mellitus burden and its main cardiovascular complications in the russian federation
publisher Endocrinology Research Centre
publishDate 2016
url https://doaj.org/article/91b40641d3e84f8ab2e700fb69ae0e9f
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